Individual
KYLE JAMES BALDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APRN, CPNP-PC
Contact information
Practice address
625 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 305-5050
(936) 305-5151
Mailing address
636 E OAK LN, NACOGDOCHES, TX 75961-4707
(936) 652-4832
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1001255
TX
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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